USC University Hospital 2010 COMMUNITY HEALTH NEEDS ASSESSMENT Published February 2011 Contents Introduction ................................................................................................................................ 3 Background and Purpose .................................................................................................... 3 Methods ..................................................................................................................................... 4 Primary Data Collection ...................................................................................................... 4 Secondary Data Collection .................................................................................................. 4 Maps ................................................................................................................................... 4 Overview of Key Findings and Community Needs ...................................................................... 5 Community Profile ...................................................................................................................... 7 Population ........................................................................................................................... 7 Race/Ethnicity ..................................................................................................................... 8 Income ................................................................................................................................ 9 Unemployment .................................................................................................................... 9 Poverty ..............................................................................................................................10 Housing and Households ...................................................................................................10 Language ...........................................................................................................................11 Education ...........................................................................................................................11 Birth and Death Characteristics .................................................................................................12 Births .................................................................................................................................12 Teen Pregnancy.................................................................................................................12 Prenatal Care .....................................................................................................................12 Low Birth Weight and Infant Mortality .................................................................................13 Deaths ...............................................................................................................................13 Death and Premature Death by Race/Ethnicity ..................................................................14 Access to Health Care ..............................................................................................................15 Health Insurance ................................................................................................................15 Barriers to Care..................................................................................................................16 Chronic Disease ........................................................................................................................16 Chronic Diseases among Adults ........................................................................................16 Childhood Asthma ..............................................................................................................17 AIDS Infection ....................................................................................................................17 STD Cases ........................................................................................................................17 Tuberculosis ......................................................................................................................18 Preventive Practices ..........................................................................................................18 Social Issues .............................................................................................................................19 Overweight and Obesity .....................................................................................................19 Access to Safe Places to Play ............................................................................................19 1 Fast Food Consumption .....................................................................................................19 Soda Consumption ............................................................................................................20 Fresh Fruits and Vegetables ..............................................................................................20 Physical Activity .................................................................................................................20 Alcohol, Tobacco and Drug Use .........................................................................................21 Youth Alcohol, Tobacco and Drug Use ..............................................................................21 Mental Health .....................................................................................................................21 Homelessness ...................................................................................................................22 Key Stakeholder Interviews .......................................................................................................23 The Hospital’s Charitable Mission and Purpose .................................................................23 Biggest Issues or Concerns ...............................................................................................24 Causes of Issues of Concern .............................................................................................25 Current Activities in the Community to Address Issues ......................................................25 Other Possible Solutions for Stated Issues ........................................................................26 Demographic Trends .........................................................................................................27 Trends in the Economy and its Impact ...............................................................................27 Trends in the Health Care Provider Community .................................................................27 Trends in Community Health Status ...................................................................................28 Influencers of Health ..........................................................................................................28 Attitudes toward Health ......................................................................................................28 Availability of Healthy Food Options ...................................................................................29 Changes in the Physical Environment Supporting or Limiting Physical Activity ..................29 Barriers to Care and Treatment for Chronic Conditions ......................................................29 What People do to Prevent Chronic Conditions from Worsening ........................................30 Obesity ..............................................................................................................................31 The Role Hospitals are Seen as Currently Playing .............................................................32 Role Which It Is Thought Hospitals Should Play.................................................................32 Recommendations for Improving Access to Care and Enhancing Public Health ................33 Additional Information which USC University Hospital Needs To Know ..............................34 Benchmark Comparisons ..........................................................................................................35 Attachment 1. Key Stakeholder Interviews ...............................................................................36 Attachment 2. USC University Hospital Service Area Maps ......................................................37 2 Introduction Background and Purpose USC University Hospital is a 411-bed acute care hospital staffed by the Doctors of USC, who are also faculty at the renowned Keck School of Medicine of the University of Southern California. USC University Hospital has undertaken a community health needs assessment as required by California law (SB 697). As well, the recent passage of the Patient Protection and Affordable Care Act requires tax exempt hospitals to conduct needs assessments and develop community benefit plans every three years. The community health needs assessment is a primary tool used by the Hospital to determine its community benefit plan, which outlines how the Hospital will give back to the community in the form of health care and other community services to address unmet community health needs. This assessment incorporates components of primary data collection and secondary data